SearchIdaho101Y00000X

Stephen Nelson, LCPC

NPI 1215362009 · on the registry since 2013 · sole proprietor

Practice

Address
690 S Industry Way Ste 45
Meridian, ID 83642
Phone
(208) 278-6807
Fax
(208) 493-4885
Organisation at this address
Access Living
Jaci Moore, Llc
Hansen Family Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101Y00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho